Contractor Registration

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Please correct the field(s) marked in red below:

Dear Contractor, To register or update information with the City of Mesa, Mesa Fire and Medical Department per Mesa Fire Code section 901.6.2, please fill out the following information.

Name
Address
City
Zip Code
Office Phone
Office Fax Number
Owner/Manager
Email is the preferred method of communication.
Email Address:
Web Address:
City of Mesa Tax I.D.#

AZROC License Number (s)

Please include all that apply to Life Safety Sytems.

Types(s) of Life Safety Systems you currently inspect, test, repair or maintain (mark all that apply):
Types(s) of Life Safety Systems you currently inspect, test, repair or maintain (mark all that apply):
  1. To receive a copy of your submission, please fill out your email address below and submit.